Freedom Recovery Center LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

SA0120018 Issued in MI

Legal business name

FREEDOM RECOVERY CENTER LLC

Practice address

62 Division St
Coldwater, MI 49036-1998

Phone

(517) 278-4673

Fax

(517) 279-4673

NPI assigned

Aug 25, 2014

Last updated

Oct 15, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Randy Leviton

Title

Managing Director

Phone

(517) 278-4673

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1408924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413331200000",
    "number": "1033519327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 DIVISION ST",
            "city": "COLDWATER",
            "state": "MI",
            "postal_code": "490361998",
            "telephone_number": "517-278-4673",
            "fax_number": "517-924-1210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 DIVISION ST",
            "city": "COLDWATER",
            "state": "MI",
            "postal_code": "490361998",
            "telephone_number": "517-278-4673",
            "fax_number": "517-279-4673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM RECOVERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-25",
        "last_updated": "2014-10-15",
        "status": "A",
        "authorized_official_last_name": "LEVITON",
        "authorized_official_first_name": "RANDY",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "517-278-4673"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "MI",
            "license": "SA0120018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Gay Fosdick
• Ashlyn Denae Fowle
• Reina Estebania Francisco
• Heather Frank, LLMSW
• Evan Andrew Frederick, D.D.S.
• Alexander Eliot Fry, LMFT
• Lubov Fry, ARNP
• Melinda Fuchs, LCSW
• G David Rubley DDS PC
• Ishan Gajera

• Substance Abuse Rehabilitation Facility in Coldwater, MI
• Providers in Coldwater, MI by specialty
• Substance Abuse Rehabilitation Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.